Provider Demographics
NPI:1396716502
Name:WHONDER-GENUS, HILLARY (MD)
Entity type:Individual
Prefix:DR
First Name:HILLARY
Middle Name:
Last Name:WHONDER-GENUS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:563 NEFF AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22801-3492
Mailing Address - Country:US
Mailing Address - Phone:540-433-4913
Mailing Address - Fax:540-433-4915
Practice Address - Street 1:563 NEFF AVE
Practice Address - Street 2:SUITE A
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22801-3492
Practice Address - Country:US
Practice Address - Phone:540-433-4913
Practice Address - Fax:540-433-4915
Is Sole Proprietor?:No
Enumeration Date:2006-01-27
Last Update Date:2011-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY217097208000000X
VA0101242213208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1396716502Medicaid
NY2083778Medicaid